Inguinal Hernia Repair Outcomes Across Various Surgical Techniques: A Hospital Based Retrospective Study from a Tertiary Care Center

Background/Aim: Inguinal hernia repair is a common surgical procedure. This study aims to compare the effectiveness of different surgical techniques used for inguinal hernia repair at a tertiary care teaching hospital over a three-year period. Methods: This study will retrospectively analyze data from patients who underwent elective surgical repair of uncomplicated inguinal hernias between 2020 and 2022 at a single institution in Cuttack, Odisha. Patients were treated using various surgical techniques and followed prospectively for a defined post-operative period to assess outcomes. Results: Analysis of 260 inguinal hernia repairs demonstrated a procedural distribution where Lichtenstein hernioplasty was the most frequently employed technique, accounting for 80.8% of cases (n=210). Preperitoneal meshplasty was utilized in 10.4% of repairs (n=27), while transabdominal preperitoneal (TEP) repair was performed in 8.8% of cases (n=23). Conclusion: Comparative analysis demonstrates that Lichtenstein tension-free repair exhibits equivalent clinical efficacy to endoscopic/laparoscopic techniques in the management of hernias. However, the Lichtenstein procedure remains the prevailing standard of care, largely attributable to its well-established cost-effectiveness.